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A study to evaluate the provision of psychosocial supervision within an Early Intervention team

Published online by Cambridge University Press:  30 June 2010

Sandra T. Neil ,
Sarah Nothard ,
David Glentworth  and
Elaine Stewart
Sandra T. Neil*
Affiliation:
Bolton Early Intervention Team, Greater Manchester West, Mental Health NHS Foundation Trust, Paragon House, Bolton, UK
Sarah Nothard
Affiliation:
Bolton Early Intervention Team, Greater Manchester West, Mental Health NHS Foundation Trust, Paragon House, Bolton, UK
David Glentworth
Affiliation:
Bolton Early Intervention Team, Greater Manchester West, Mental Health NHS Foundation Trust, Paragon House, Bolton, UK
Elaine Stewart
Affiliation:
Bolton Early Intervention Team, Greater Manchester West, Mental Health NHS Foundation Trust, Paragon House, Bolton, UK
*
*Author for correspondence: Dr S. T. Neil, Bolton Early Intervention Team, Greater Manchester West, Mental Health NHS Foundation Trust, Paragon House, Bolton BL6 6HG, UK. (email: Sandra.neil@gmw.nhs.uk)
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Abstract

Psychosocial Interventions (PSIs) and PSI supervision underpin the delivery of early interventions for people experiencing psychosis. Early Intervention (EI) teams are relatively new in the NHS and there is currently a lack of empirical research into PSI supervision in this area. This study aimed to elicit staff views of PSI supervision and to identify any unmet supervision needs within a newly developed EI team in the UK. Semi-structured interviews were conducted with 16 multidisciplinary team members. Descriptive statistics and a thematic analysis were used to analyse the responses. The different types of supervision available to team members, gaps in the provision of PSI supervision and aspects that supervisees found helpful and unhelpful about PSI supervision are discussed as are ideas for improving the provision of PSI supervision in EI teams. The limitations of the study and ideas for further research are also outlined.

Keywords

Clinical supervisionearly intervention (EI)psychosissupervision
Type
Education and supervision
Information
the Cognitive Behaviour Therapist , Volume 3 , Issue 2 , June 2010 , pp. 58 - 70
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Bennett, J, Gardener, B, James, F (2001). Implementing clinical supervision in a NHS community trust. In: Fundamental Themes in Clinical Supervision (ed. Cutliffe, J. R., Butterworth, T. and Proctor, B.), pp. 99–111. London: Routledge.Google Scholar
Brabban, A, Kelly, M (2008). A national survey of psychosocial intervention training and skills in early Intervention services in England. Journal of Mental Health Training, Education and Practice 3, 15–21.CrossRefGoogle Scholar
Brooker, C, Brabban, A (2004). Measured success: a scoping review of evaluated psychosocial interventions training for work with people with serious mental health problems. National Institute for Mental Health in England.Google Scholar
Bishop, V (2007). Clinical Supervision in Practice: Some Questions, Answers and Guidelines for Professionals in Health and Social Care, 2nd edn.Basingstoke: Palgrave.CrossRefGoogle Scholar
Bradshaw, T (2002). Training and clinical supervision. In: Psychosocial Interventions for People with Schizophrenia: A Practical Guide for Mental Health Workers (ed. Harris, N., Williams, S. and Bradshaw, T.), pp. 251–267. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
Bradshaw, T, Butterworth, T, Mairs, H (2007). Does structured clinical supervision during psychosocial intervention education enhance outcome for mental health nurses and the service users they work with? Journal of Psychiatric and Mental Health Nursing 14, 4–12.CrossRefGoogle ScholarPubMed
Braun, V, Clarke, V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101.CrossRefGoogle Scholar
Brennan, G, Gamble, C (1997). Schizophrenia family work and clinical practice. Mental Health Nursing 17, 12–15.Google Scholar
Butterworth, T, Bishop, V, Carson, J (1996). First steps towards evaluating clinical supervision in nursing and health visiting. Theory, policy and practice development. A review. Journal of Clinical Nursing 5, 127–132.CrossRefGoogle ScholarPubMed
Carpenter, J, Barnes, D, Dickinson, C (2003). Making a modern health care force. Evaluation of the Birmingham University interprofessional training programme in Community mental health. (unpublished). University of Durham Centre for Applied Research.Google Scholar
Carroll, M (1996). Counselling Supervision: Theory, Skills and Practice. London: Cassell.Google Scholar
Craig, T (2003). A step too soon or a step too far? Early intervention in psychosis. Journal of Mental Health 12, 335–339CrossRefGoogle Scholar
Department of Health (1994)a. Independent inquiry relating to deaths and injuries on the children's ward at Grantham and Kesteven Hospital during the period February to April 1991 (Clothier Report). London: HMSO.Google Scholar
Department of Health (1994)b. Clinical supervision for the nursing and health visiting professions. CNO letter 94(5). London: HMSO.Google Scholar
Department of Health (2001). Mental health policy implementation guide. London: HMSO.Google Scholar
Department of Health (2004)a. The NHS Knowledge and Skills Framework (NHS KSF) and the development review process. HMSO: London.Google Scholar
Department of Health (2004)b. Agenda for change: what will it mean for you? A guide for staff. London: HMSO.Google Scholar
Department of Health (2004)c. The National Service Framework – five years on. London: HMSO.Google Scholar
Devane, S, Haddock, G, Lancashire, S, Baguley, I, Butterworth, T, Tarrier, N, James, A, Molyneux, P (1998). The clinical skills of community psychiatric nurses working with patients who have severe and enduring mental health problems: an empirical analysis. Journal of Advanced Nursing 27, 253–260.CrossRefGoogle ScholarPubMed
Durham, R, Swan, J, Fisher, P (2000). Complexity and collaboration in routine practice of CBT: What doesn't work so well and how might it work better? Journal of Mental Health 9, 429–444.CrossRefGoogle Scholar
Fadden, G (1997). Implementation of family interventions in routine practice following staff training programmes: a major cause for concern. Journal of Mental Health 6, 599–612.CrossRefGoogle Scholar
Fadden, G, Birchwood, M, Jackson, C, Barton, K (2004). Psychological therapies: implementation in early intervention services. In: Psychological Interventions in Early Psychosis: A Treatment Handbook (ed. Gleeson, J. and McGorry, P.), pp. 261–280. Wiley: Chichester.Google Scholar
Faugier, J, Butterworth, T (1994). Clinical supervision: a position paper. School of Nursing Studies. University of Manchester.Google Scholar
Flemming, M, Savage-Grainge, A, Martin, C, Hill, C, Brown, S, Bucle, J, Miles, J (2008). The role of intrinsic factors in the implementation of psychosocial interventions. Journal of Mental Health Training, Education and Practice 3, 32–41.CrossRefGoogle Scholar
Gilbert, M, Evans, K (2000). Psychotherapy Supervision: An Integrative Relational Approach to Psychotherapy Supervision. London: Open University Press.Google Scholar
Hallberg, I (1994). Systematic clinical supervision in a child psychiatric ward: satisfaction with nursing care, tedium, burnout, and the nurses' own report on the effects of it. Archives of Psychiatric Nursing 3, 44–52.CrossRefGoogle Scholar
Heron, J (1989). Six Category Intervention Analysis, 3rd edn.Guildford: Human Potential Resource Group, University of Surrey.Google Scholar
Hughes, L, Pengelly, P (1997). Staff Supervision in a Turbulent Environment. London: Jessica Kingsley.Google Scholar
Kingdon, D, Pelton J, (2002). Clinical supervision. In: The Case Study Guide to CBT of Psychosis (ed. Kingdon, D. and Turkington, D.), pp. 197–202. UK: Wiley Series.Google Scholar
Liese, B, Beck, J (1997). Cognitive therapy supervision. In: Handbook of Psychotherapy Supervision (ed. Watkins, C. E.), pp. 114–133. New York: John Wiley and Sons.Google Scholar
Lincoln, Y, Guba, E (1985). Naturalistic Enquiry. UK: Sage Publications.Google Scholar
Mairs, H, Arkle, N (2007). Accredited training in psychosocial interventions for psychosis: a national survey. NIMHE/CSIP.Google Scholar
Mairs, H, Bradshaw, T (2005). Implementing family intervention following training: what can the matter be? Journal of Psychiatric and Mental Health Nursing 12, 488–494.CrossRefGoogle Scholar
Marshall, M, Lockwood, A, Lewis, S, Fiander, M (2004). Essential elements of an early intervention service for psychosis: the opinions of expert clinicians BioMedCentral Psychiatry 4, 1–7.Google ScholarPubMed
McGorry, P, Edwards, J, Mihalopoulos, C, Harrigan, S, Jackson, H (1996). EPPIC: an evolving system of early detection and optimal management. Schizophrenia Bulletin 22, 305–326.CrossRefGoogle ScholarPubMed
Milne, D, Carpenter, J, Lombardo, C, Dickinson, C (2003). Training for evidence-based practice in mental health: external evaluation of the Sunderland University Programme in psychosocial interventions. Northern Centre for Mental Health, York.Google Scholar
Pawson, R, Boaz, A, Grayson, L, Long, A, Barnes, C (2003). Types and Quality of Knowledge in Social Care. London: Social Care Institute for Excellence.Google Scholar
Pretorius, W (2006). Cognitive behavioural therapy supervision: recommended practice. Behavioural and Cognitive Psychotherapy 34, 413–420.CrossRefGoogle Scholar
Proctor, B (1991). Supervision: a co-operative exercise in accountability. In: Enabling and Ensuring Supervision in Practice (ed. Marken, M. and Payne, M), pp. 21–34. Leicester: Youth Bureau and Council for Education and Training in Youth and Community Work.Google Scholar
Rolls, L, Davies, E, Coupland, K (2002). Improving serious mental illness through interprofessional education. Journal of Psychiatric and Mental Health Nursing 9, 317–324.CrossRefGoogle ScholarPubMed
Scaife, J (2001). Supervision in the Mental Health Professionals. A Practitioner's Guide. Hove: Brunner-Routelege.Google Scholar
Sin, J, Sculy, E (2008). An evaluation of education and implementation of psychosocial interventions within one UK mental healthcare trust. Journal of Psychiatric and Mental Health Nursing 15, 161–169.CrossRefGoogle ScholarPubMed
Singh, S, Wright, C, Joyce, E, Barnes, T, Burns, T (2003). Developing early intervention services in the NHS: a survey to guide workforce and training needs. Psychiatric Bulletin 27, 254–258.CrossRefGoogle Scholar
Sloan, G, White, C, Coit, F (2000). Cognitive therapy supervision as a framework for clinical supervision in nursing: using structure to guide discovery. Journal of Advanced Nursing 32, 515–524.CrossRefGoogle ScholarPubMed
Townend, M (2004). Supervision contracts in cognitive behavioural psychotherapy. Supervison Supplement, August, 1–4, Accrington: BABCP.Google Scholar
Townend, M, Iannetta, L, Freeston, M (2002). UK study of the supervision practices of behavioural, cognitive and rational emotive behavioural psychotherapists. Behavioural and Cognitive Psychotherapy 30, 485–500.CrossRefGoogle Scholar
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